Lepon, Gale R. --1973 May Show

PLEASE TYPE OR PRINT

CS'Ms.

□ Mr. Artist

( Last Name Last)

^ \ Ld5l IN al I Ic

Address 2±tB 5 Enmim 'R.u . m.

Street City

4410 6 Teual.) .^Zl-aofis

Zip

Area Code

Temporary
Address

Street

City

Tel. (

Zip

Area Code

Permanent address is in what county? . -UJ
Born in Cuyahoga County □ Yes I y? No
Collaborator

(If Any)

If entries are not accepted or not sold:

(vr Artist will pick up entries at Museum.

□ Museum should dispose of entries.

□ Museum should ship entries to artist C.O.D. at this address:

The attached card will be returned to you as notification of
acceptance or rejection by the last week in April.

THE RETURNED CARD IS YOUR ONLY RECEIPT TO CLAIM
YOUR ENTRIES. Do not lose it.

This entry blank must be fully made out and signed. Unsigned
entry blanks will not be accepted.

Note calendar for delivery and return of objects carefully. It is
understood that the Museum will have the right to dispose for
its own account any entry not called for by the dates listed below.

It is also understood that accepted entries will remain on
exhibition until June 10, 1973.

The submission of entries will be construed as acceptance of all
conditions printed in the entry information.

Mm,

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Signature

CATEGORY dll. Paintings □ 2. Graphics CH 3. Photography
ENTRY ONE CH 4. Sculpture d]5. Electric Q36. Crafts

Medium or Materials

Title

CANT TFLL NIGHTMARES FROM

the ‘Baton tuji*l-FRs

Price or.ALF»S

Insurance Value

Size

j 135

If NFS Only

/ X 4 ~ft.

GRAPHICS AND PHOTOGRAPHY ONLY

Additional
No. For Sale

Total No.
in Edition

Price

Unframed

DO NOT WRITE IN THIS SECTION

Ti

Price

of Frames

FEE PAID

Additional
No. of Frames
For Sale

REJECTED

BY

CATEGORY □ 1 . Paintings □ 2. Graphics CH3. Photography
ENTRY TWO 04. Sculpture CH5. Electric 06. Crafts

Medium or Materials

Title

Price or NFS

Insurance Value

Size

If NFS Only

GRAPHICS AND PHOTOGRAPHY ONLY

Additional
No. For Sale

Total No.
in Edition

Price

Unframed

Price

of Frames

Additional
No. of Frames
For Sale

DO NOT WRITE IN THIS SECTION

ACCEPTED

REJECTED

RECEIVED

BY

i

'% n rs

CATEGORY Dl. Paintings 02. Graphics CD3 Photography
ENT RY ONE CD 4. Sculpture 05. Electric Crafts

Medium or Materials

jjNEW lA/ML?

™. you cant me 7Hi JTi$HTMflRES Fftiiy

T m BATON TtUlkLERS

Notification of Acceptance or Rejection

gftLE KfePP N

Type or print name of artist

This is your only receipt to claim your object(s).

A

This notification will be mailed to you following judging.

AA<

CATEGORY Dl. Paintings □ 2. Graphics lZT 3. Photograph'
ENTRY TWO □ 4. Sculpture CD5. Electric [D6. Crafts

Medium or Materials

Titlrt

DO NOT WRITE IN THIS SECTION

ACCEPTED

REJECTE